Knowledge, attitude and mis-conceptions regarding copper-T among women and ASHA workers in Bundelkhand region
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20252521Keywords:
Contraceptives, Copper-T, ASHA workers, Family planningAbstract
Background: Population explosion is probably the most challenging issue India is facing currently. According to the factsheet of National Family Health survey -5 (NFHS-5), the total unmet need for family planning methods in currently married women aged 15-49 years is 9.4% and the total unmet need for spacing methods is 4.0%. Also, IUCDs hold 2.1% of total share of contraceptives being used.
Methods: 200 women coming to the hospital and 100 ASHA workers of Bundelkhand region accompanying them were included in this survey. They were asked to fill a questionnaire and results were analysed.
Results: 56% of women knew about Copper-T as a contraceptive and only 25.5% women perceived it as an effective contraceptive. Theyraised concerns like bleeding, pain, infection and infertility. 53% ASHA workers reported women have only partial knowledge about Copper T.
Conclusion: Copper T has low acceptance among women due to misconceptions and lack of awareness. Counselling, providing incentives to women, involving men and family members can improve its acceptance.
Metrics
References
Bearak J, Popinchalk A, Alkema L, Sedgh G. Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model. Lancet Glob Health. 2018;6(4):380–9. DOI: https://doi.org/10.1016/S2214-109X(18)30029-9
Ganatra B, Gerdts C, Rossier C, Johnson BR, Tunçalp Ö, Assifi A, et al. Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. Lancet. 2017;390(10110):2372–81. DOI: https://doi.org/10.1016/S0140-6736(17)31794-4
International Institute for Population Sciences (IIPS) and ICF. 2021. National Family Health Survey (NFHS-5), 2019-21: India: Volume II. Mumbai: IIPS.
Jain R, Muralidhar S. Contraceptive methods: needs, options and utilization. J Obstet Gynaecol India. 2011;61(6):626–34. DOI: https://doi.org/10.1007/s13224-011-0107-7
Santhya KG. Changing family planning scenario in India: an overview of recent evidences. Pop Council. 2003;3:17.
6. Pachauri S. Priority strategies for India's family planning programme. Indian J Med Res. 2014;140:137–46.
Pradhan MR, Dwivedi LK. Changes in contraceptive use and method mix in India: 1992–92 to 2015–16. Sex Reprod Health. 2019;19:56–63. DOI: https://doi.org/10.1016/j.srhc.2018.12.006
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015–16: India: Mumbai: IIPS. 2017.
Kaur R, Bisht N, Dhillon A, Kumar S. A Study of Knowledge, Attitude and Practice of Contraception in Reproductive Age Group in Amritsar District of Punjab. J Med Sci Clin Res. 2019;7(11):153-8. DOI: https://doi.org/10.18535/jmscr/v7i11.26
Sharma A, McCabe E, Jani S, Gonzalez A, Demissie S, Lee A. Knowledge and attitudes towards contraceptives among adolescents and young adults. Contracept Reprod Med. 2021;6(1):2. DOI: https://doi.org/10.1186/s40834-020-00144-3
Singla N, Kaur T, Kaur T, Kaur S. Knowledge and attitude towards birth spacing and copper T usage among women of reproductive age group. International J Reprod, Contracept, Obst Gynecol. 2024;13(11):3160–5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20243169
Malhan R, Nath J, Bhusan, AK. Study of knowledge, attitude and practice of copper T as a method of contraception among antenatal women. International J Reprod Contra Obstet Gynecol. 2021;10(5):1851–5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20211500
Singal S, Bharti R, Dewan R, Divya, Dabral A, Batra A, et al. Clinical Outcome of Postplacental Copper T 380A Insertion in Women Delivering by Caesarean Section. J Clin Diagn Res. 2014;8(9):1-4. DOI: https://doi.org/10.7860/JCDR/2014/10274.4786
Garg N, Sarkar B, Singla S, Meena RK. Demographics and follow up of post-partum intra-uterine copper device in tertiary hospital in Delhi, India. International J Reprod, Contracept, Obst Gynecol. 2019;8(6):2232–5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20192410
Iyengar R, Raut N. Study of awareness, acceptability and safety of postpartum Copper T (IUCD) In Postpartum Women Attending Obstetrics and Gynaecology Department of Tertiary Care Hospital. Galore Int J Health Sci Res. 2019;4(3):161-4.